Gray, Carol

Gray, Carol is an sole proprietor health care provider with primary practice located at 910 N Madison Blvd , Roxboro NC 27573-4573. She recently has only one registered license in Behavioral Health & Social Service Providers / Exercise & Sports, which is considered as her primary health care specialty. Gray, Carol can be contacted via phone (336) 322-8000.

Contact Information

Primary practice address
910 N Madison Blvd Roxboro NC 27573-4573
Phone: (336) 322-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X

Profile Details

NPI number 1962952010
LBN Legal business name Gray, Carol
Credentials PHYSIOLOGST.,H.COACH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2016
Last updated Oct 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962952010 NPPES
Other T49071 AMERICAN COUNCIL ON EXERCISE
Other BS DEGREE AMERICAN COUNCIL ON EXERCISE
Other 14488787 AMERICAN COUNCIL ON EXERCISE

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